NPIMap

Organization Active NPI

Park Lenox Psychiatry

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1205933215
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PARK LENOX PSYCHIATRY
Practice address
130 E 77TH St
New York, NY 10021-1851
Phone
(212) 434-2830
Fax
(212) 434-2830
NPI assigned
Sep 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Molly E Poag, MD
Title
Chair of Psychiatry
Phone
(212) 434-2810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X NY Primary

Addresses

Primary practice location

130 E 77TH St
New York, NY 10021-1851

Mailing address

130 E 77TH St
New York, NY 10021-1851
Phone (212) 434-2830

National Provider Directory

National Provider Directory

Locations

130 E 77th St
#B304
New York, NY 10075

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205933215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211851",
            "telephone_number": "212-434-2830",
            "fax_number": "212-434-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211851",
            "telephone_number": "212-434-2830",
            "fax_number": "212-434-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK LENOX PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POAG",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHAIR OF PSYCHIATRY",
        "authorized_official_telephone_number": "212-434-2810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.